最后审阅: 19 四月 2022
最后更新: 11 三月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 直肠出血
  • 肛周痛/不适
更多 关键诊断因素

其他诊断因素

  • 肛门瘙痒
  • 疼痛性可触及的肛周病变
  • 肛门包块
其他诊断因素

危险因素

  • 年龄 45-65 岁之间
  • 便秘
  • 妊娠或盆腔占位病变
  • 肝功能不全
  • 腹水
更多 危险因素

诊断性检查

首要检查

  • 肛镜检查
  • 结肠镜/纤维乙状结肠镜
  • 全血细胞计数 (FBC)
  • 粪便隐血实验
更多 首要检查

治疗流程

急症处理

就诊所有患者

持续性治疗

胶圈套扎、硬化疗法、红外光束凝结法、经肛门直接部痔血管结扎术或吻合器痔疮切除术等治疗失败

撰稿人

作者

Mohamed A. Thaha, PhD, FRCS (Gen Surg), PG Cert Hlt Econ

Senior Lecturer and Consultant in Colorectal Surgery

National Bowel Research Centre (NBRC)

Blizard Institute

Barts and The London School of Medicine & Dentistry

Queen Mary University of London

Colorectal & Pelvic Floor Services

Royal London Hospital

Barts Health NHS Trust

London

UK

利益声明

MAT declares that he has no competing interests.

Jayan D Jayasinghe, MD, MRCS

Senior Fellow in Colorectal Surgery

Colorectal Surgery & Pelvic Floor Services

Royal London Hospital

Barts Health NHS Trust

London

UK

利益声明

JDJ declares that he has no competing interests.

Robert J.C. Steele, MD, FRCS

Professor of Surgery

Ninewells Hospital & Medical School

University of Dundee

Dundee

UK

利益声明

RJCS declares that he has no competing interests.

鸣谢

Dr Mohamed A. Thaha and Professor Robert J.C. Steele would like to gratefully acknowledge Dr Kurt G. Davis, the previous contributor to this topic.

利益声明

KGD declares that he has no competing interests.

同行评议者

George Reese, MB BS MRCS

Honorary Clinical Research Fellow

Division of Surgery

Oncology

Reproductive Biology and Anaesthetics

Imperial College

St Mary's Hospital

London

UK

利益声明

GR declares that he has no competing interests.

Alexander von Roon, MRCS

Clinical Research Fellow

Department of Biosurgery and Surgical Technology

Imperial College

St Mary's Hospital

London

UK

利益声明

AVR declares that he has no competing interests.

  • 痔 images
  • 鉴别诊断

    • 肛裂
    • 克罗恩病
    • 溃疡性结肠炎
    更多 鉴别诊断
  • 指南

    • 欧洲肛肠病学会痔病指南
    • 澳大利亚健康妊娠保健部门指南:妊娠期常见疾病。
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